Michael Jan Nelson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1298-057 Issued in WI

Practice address

420 1St Ave S
Wisconsin Rapids, WI 54495-4157

Phone

(715) 424-3400

Fax

(715) 424-3441

NPI assigned

Oct 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Outpatient Therapies - Wisconsin Rapids

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  NPD (past)
• County of Adams

  dba Adams County Health & Human Services Department

  • Mental Health Counselor
  • Friendship, WI
  • NPI 1104930866
  NPD (past)
• Michael Jan Nelson PHD

  dba Clinical Services

  • Community/Behavioral Health Agency
  • Wisconsin Rapids, WI
  • NPI 1205097870

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821178831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544951535",
            "telephone_number": "715-424-3400",
            "fax_number": "715-424-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1ST AVE S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544954157",
            "telephone_number": "715-424-3400",
            "fax_number": "715-424-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "JAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1298-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Claire Natividad, MD
• Gregory S Naze, M.D.
• Victoria Louissa Neff
• Florence Tavera Neilitz, PA-C
• Connie L Nelson, CADCIII
• Christine Neuberger
• Cheryl Ann Neuman, OTR
• Chloe L Nilles, DC
• Jessica Lynn Noah, MFT-IT
• Rodney Noe

• Clinical Psychologist in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.